A 31-year-old man presented to our Emergency Department with complaints of left breast
pain and swelling for 1 week. He stated he had his nipple pierced 10 years ago and
continued to keep a plastic loop through it, frequently changing the loop. He denied
any recent fevers or chills. His vital signs were normal. Physical examination revealed
a warm, erythematous, and fluctuant 2-cm area at the lateral border of the areola.
The patient was reluctant to consent for an incision and drainage (I & D) for cosmetic
reasons, however, he agreed to an aspiration of the area. Sterile needle aspiration
of the area was performed, which elicited 2 cc of pus. The patient was given an intramuscular
injection of cefazolin and discharged with a prescription of cephalexin and instructions
to follow-up in 2 days. It was explained to him that if the abscess recurred, an I
& D would be necessary. The patient was accepting of this, however, he failed to follow-up
in the 2 days as instructed.
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Article info
Publication history
Published online: August 30, 2007
Accepted:
November 27,
2006
Received in revised form:
September 1,
2006
Received:
October 5,
2005
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
